The only remaining abortion clinic in the greater Cincinnati area, which serves an estimated 2.1 million people, was hit with a citation this month from the Ohio Department of Health for failing to have a written transfer agreement with a local private hospital.

The last abortion clinic in Toledo, Ohio, will be forced to close because, it was told by the state health department, its transfer agreement with the University of Michigan Health System does not fit the criteria of state law, which requires the transfer hospital to be “local.”